A Simplified Way to Prescribe Omnipod® 5

The Omnipod® 5 Automated Insulin Delivery (AID) System

Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825 Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825
Pods and Dexcom G6 CGM shown without the necessary adhesive. Dexcom G6 CGM sold separately.

Omnipod is available through the pharmacy:

  • No technology lock-in or long-term commitment
  • Many can start on Omnipod regardless of existing DME lock-in period*
*Only available for users with valid prescription and coverage through their pharmacy benefit. Exact coverage depends on patient’s insurance plan. Upgrades subject to user’s insurance coverage.

Both of the following prescriptions need to be written to get your patient started on the Omnipod 5 AID system**

Omnipod 5 G6 Intro Kit (Gen 5) Omnipod 5 G6 Pods (Gen 5) Refill 5-Pack
Use as directed Use as directed
Qty 1 Qty 2 boxes (30 day supply)
0 refills 11 refills
NDC #: 08508-3000-01 NDC #: 08508-3000-21

 ** The Dexcom G6 requires a separate prescription and is necessary to use Omnipod 5 in Automated Mode.

Both of the following prescriptions need to be written to get your patient started on the Omnipod 5 AID system**

Omnipod 5 G6 Intro Kit (Gen 5)
Use as directed
Qty 1
0 refills
NDC #: 08508-3000-01
Omnipod 5 G6 Pods (Gen 5) Refill 5-Pack
Use as directed
Qty 2 boxes (30 day supply)
11 refills
NDC #: 08508-3000-21
** The Dexcom G6 requires a separate prescription and is necessary to use Omnipod 5 in Automated Mode.

Financial Assistance Programs May Be Available

Have your patients call customer care at 1-800-591-3455 to learn more.

INS-OHS-04-2022-00006 v3.0